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作 者:周宁宁[1] 杨红萍[2] 王咏梅[3] 曹莉[4] 陈丽丽[5]
机构地区:[1]杭州市第一人民医院肝胆外科,310006 [2]杭州市第一人民医院骨科,310006 [3]杭州市第一人民医院心内科,310006 [4]杭州市第一人民医院新生儿科,310006 [5]杭州市第一人民医院中医科,310006
出 处:《中华现代护理杂志》2016年第23期3386-3389,共4页Chinese Journal of Modern Nursing
基 金:浙江省医药卫生科技计划项目(2014KYB190)
摘 要:目的:探讨专科化团队建设在静脉输液治疗中的应用效果及对高年资护士工作满意度的影响。方法2014年1月选择杭州市第一人民医院高年资护士50名组建静脉输液专科化团队,由护理部领导,其他医疗科室协助指导,高年资护士担任团队的专业执行角色。比较团队化护理实施前(2012年1月—2013年12月)及实施后(2014年1月—2015年12月)的患者满意度、护理缺陷和差错事故发生率、护士对工作的满意度。结果实施前患者对护理服务的满意度为90.03%,实施后为96.08%,差异有统计学意义(χ2=140.412,P〈0.01)。实施前的护理缺陷和差错事故发生率为1.02%,实施后为0.46%,差异有统计学意义(χ2=10.748,P〈0.01)。实施前后,护士对工作的高度满意率从12.0%提高至82.0%,差异有统计学意义(χ2=49.177,P〈0.01)。结论专科化团队建设可提高静脉输液治疗的质量和高年资护士对工作的满意度,从而增强自我效能和职业认同感,稳定护理队伍。Objective To explore the application effects of specialized team building in intravenous infusion and its influences on job satisfaction of senior nurses. Methods A specialized team of intravenous infusion was built which was composed of 50 senior nurses selected in January 2014 from Hangzhou First People′s Hospital. The team was headed by nursing department and assisted by other medical departments. Senior nurses played the role of professional execution on the team. And then, were compared the patients′ satisfaction, incidence of nursing defect, errors, and accidents, job satisfaction of nurses before ( January 2012 to December 2013) and after ( January 2014 to December 2015 ) implementing team nursing. Results There was a statistically significant difference in patients′ satisfaction with nursing service before ( 90. 03%) and after (96.08%) implementation (χ2=140.412,P〈0.01). The incidence of nursing defect, errors, and accidents was 1.02% before implementation and was 0.46% after implementation with a significant difference (χ2=10.748,P〈0.01). After implementation, the job satisfaction of nurses increased from 12.0% (before implementation) to 82.0% with a significant difference (χ2 =49. 177, P〈0. 01 ) . Conclusions Specialized team building can improve the quality of intravenous infusion and job satisfaction of senior nurses so as to enhance self efficacy, professional identity and stabilize nursing staff.
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